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The most serious teratogenic effects of intrauterine rubella infection occur if it is acquired during the third trimester.

A) True
B) False

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Impetigo is caused by


A) Propionibacterium acnes.
B) Corynebacterium diphtheriae.
C) Staphylococcus aureus.
D) Streptococcus pyogenes.
E) both Staphylococcus aureus and Streptococcus pyogenes.

F) C) and D)
G) A) and D)

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MRSAs are Staphylococcus aureus strains that are


A) resistant to mupirocin.
B) responsive to mupirocin.
C) resistant to penicillin derivatives.
D) responsive to penicillin derivatives.
E) related to Streptococcus pyogenes.

F) A) and E)
G) All of the above

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Chickenpox


A) is transmitted by droplet contact.
B) lesion distribution is centripetal.
C) has an incubation of 10 to 20 days.
D) has fever and vesicular rash that occurs in successive crops.
E) All of the choices are correct.

F) B) and E)
G) A) and C)

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All of the following pertain to measles (rubeola) except


A) it is transmitted by direct contact with the rash.
B) humans are the only reservoir for the pathogen.
C) secondary bacterial otitis media and sinusitis can occur.
D) it involves a fatal complication called subacute sclerosing panencephalitis (SSPE) .
E) dry cough,sore throat,fever,and conjunctivitis are symptoms.

F) A) and B)
G) B) and D)

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The smallpox vaccine uses the _____ virus.


A) smallpox
B) herpes simplex
C) vaccinia
D) herpes virus 6
E) None of the choices is correct.

F) B) and E)
G) A) and B)

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Varicella and herpes zoster are caused by the same virus.

A) True
B) False

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Herpesviruses are double-stranded,nonenveloped DNA viruses.

A) True
B) False

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Blisters


A) are confined to the epidermis.
B) originate in the dermis.
C) originate in the subcutaneous layer.
D) result from a separation of epidermis from dermis.
E) None of the choices is correct.

F) A) and E)
G) A) and B)

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A mother brings in her unimmunized, otherwise healthy, 7-year-old daughter to the pediatric office where you are the charge nurse. The child has nearly 100 lesions all over her body, mainly localized to her trunk. Most of the lesions are vesicular, but a few have scabbed over. According to the mother, her daughter broke out in this rash about 5 days ago. She never experienced a fever, but the rash seems to be incurably itchy. As the mother is telling you this, you see her daughter itch open one of the vesicles, revealing a clear fluid. -Based on the patient's symptoms,you suspect that she will be diagnosed with


A) smallpox.
B) chickenpox.
C) shingles.
D) systemic wart syndrome.

E) C) and D)
F) A) and B)

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Smallpox is a disease


A) in which fever,prostration,rash,and possible toxemia and shock occur.
B) in which the virus becomes latent in ganglia of sensory neurons.
C) in which recurrent episodes are called shingles.
D) that can only be transmitted by direct skin contact with skin crusts.
E) All of the choices are correct.

F) B) and E)
G) C) and E)

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If a person who has never been infected with the varicella zoster virus comes in contact with a person who has shingles,the first person will come down with


A) herpes labialis.
B) shingles.
C) chickenpox.
D) infectious mononucleosis.
E) herpes keratitis.

F) A) and E)
G) D) and E)

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The integument includes all of the following except


A) skin.
B) hair.
C) nails.
D) sweat glands.
E) surface capillaries.

F) B) and E)
G) A) and C)

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This febrile disease with a rash has a pathogen that can cross the placenta and cause serious fetal damage.


A) croup
B) mumps
C) influenza
D) measles (rubeola)
E) rubella

F) A) and C)
G) A) and E)

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Which of the following is not true of Propionibacterium acnes?


A) anaerobic or aerotolerant
B) gram-negative rod
C) releases lipase
D) attracts white blood cells
E) present in hair follicles

F) All of the above
G) A) and C)

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The eye generally has a large percentage of normal biota present.

A) True
B) False

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. A mother brings her 8-year-old daughter into the clinic where you are a nurse. The girl has a dry, flaky, and peeling rash around her mouth. The mother states that she has tried using numerous lotions, but the lesions persist. She has come here looking for information on how to make her daughter stop licking her lips, as she thinks this is causing the lesions. Upon closer examination, you notice small blisters and honey-colored crusts. You note that the patient is negative for other symptoms, including fever, nausea, vomiting, and general malaise. -The lab results also indicate that the specimen was inoculated into a test tube of plasma.Remembering the coagulase test from microbiology class,which result would be consistent with a diagnosis of S.aureus infection?


A) The sample remains liquid.
B) The sample completely coagulates.
C) The sample develops a flocculent precipitate.
D) The sample turns yellow and remains liquid.

E) B) and C)
F) B) and D)

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Smallpox is caused by an orthopoxvirus.

A) True
B) False

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are a school nurse at a public elementary school in your town. By lunch time, you have had four students visit your office complaining of itchy, watery eyes featuring red and inflamed sclera and conjunctiva. All students had clear drainage; three of the students had it in both eyes, while the fourth only had it in one eye. They all complained that their eyes felt “glued-shut” when they awoke this morning, and one student was very sensitive to light. -What is the most likely diagnosis based on your clinical findings?


A) keratitis
B) neonatal conjunctivitis
C) bacterial conjunctivitis
D) viral conjunctivitis
E) The discharge must be cultured to make a diagnosis.

F) All of the above
G) A) and B)

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Impetigo involves itching papules that break and form a very contagious yellow crust.

A) True
B) False

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